2308 Barefoot Trace TEMP STORAGE IP' E'-' El' E 1
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�r�9• � �,' Beach „,,fr• A,,Road •Atlantic Beach,Florida 32233-5445
Bone,; (904)247-5800 • FAX (904)247-5845 www.coab.us
City of Atlantic Beat , tf"L
REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portable storage structures may be used within the City of Atlantic Beach following submittal of this completed
form to the Building and Zoning Department. Within all residential Zoning Districts, these may be used only for
the temporary storage of personal household belongings of occupants of the property and may be placed on the
property for a period not to exceed four(4);days or ninety-six(96) hours. Registration is required each time that a
temporary storage structure is placed on the property. Within all non-residential Zoning Districts, enclosed portable
storage structures may be used for temporary storage of items related to the business located on the property, for a
period not to exceed thirty (30) days. Such structures cannot be located within front yar setbacks and shall not be
used to store any chemical,hazardous,flammable or combustible materials. , I
APPLICANT NAME: Vv ` ' h IZi 3 vie
MAILING ADDRESS: 2 IlDS 1-7(e2 Ce
ADDRESS WHERE TEM)O�R,ARY STORAGE STRUCTURE WILL BE PLACED (If different from
mailing address) �1S_Q e_,
SUBDIVISION V c_0(2.4-). U )a_.(2/K______--- BLOCK# LOT#
DATES THAT THE TEMP I RARY S ORAGE STRUCTURE WILL BE I -,TEE ON T E '
PROPERTY: 5 ��-I _iis.,
h`I o ' �r `� It.o
through ��_�.� _ 9_1 ►;
1/()e)K
Residential property 1% tV
❑ Commercial (Provide survey or site plan showing location where structure will be placed.)
❑ Other
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of property owner or authorized agent.
le__
SIGNATURE v' Il At
,, PRINT NAME , I, I . �'
CONTACT I FO' ATION 0' ' _ ' ON le0
OPSUB ITTING THIS REGISTRATION FO' 4 (PLEASE PRINT)
NAME 1
MAILING ADDRESS "_ Z ” __1 *1 ' s 1 e / — :
PHON ` , r , ►'l► ' FAX �� E-MAIL , _ ra I-J
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CZYVL
Revised May 2012